| Dorothy Adhiamb0 Maunda, | |
|
84 Waverly St, Potsdam, NY 13676-1607 | |
| (315) 261-3541 | |
| Not Available |
| Full Name | Dorothy Adhiamb0 Maunda |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 84 Waverly St, Potsdam, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790439297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403984-01 (New York) | Primary |
| Entity Name | Gouverneur Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295156412 PECOS PAC ID: 9931336724 Enrollment ID: O20140911000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy Adhiamb0 Maunda, 77 W Barney St, Gouverneur, NY 13642-1040 Ph: (315) 287-1000 | Dorothy Adhiamb0 Maunda, 84 Waverly St, Potsdam, NY 13676-1607 Ph: (315) 261-3541 |
Matthew Bonner Mclain, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Ms. Lucille Lyda Hanson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Market St, Potsdam, NY 13676 Phone: 315-274-7003 Fax: 315-425-2653 | |
Tayla Lyn Durant, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Raymond St, Potsdam, NY 13676 Phone: 315-265-9271 | |
Mr. Joseph John Adams Iv, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 | |
Noel Lawton Bloomfield Ii, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-274-9075 | |
Judith Leach Chagnon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Student Health Ctr, Clarkson University, Potsdam, NY 13699 Phone: 315-268-6633 | |
Matthew Clark Jenison, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |